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[一名6岁女孩表现为急性心肌梗死的暴发性心肌炎]

[Fulminant myocarditis presenting like acute myocardial infarction in a 6-year-old girl].

作者信息

Plat G, Marcoux M-O, Bassil R, Pattier J-M, Bloom M-C, Dulac Y, Acar P

机构信息

Service de Réanimation Pédiatrique Polyvalente, Hôpital des Enfants, 330, avenue de Grande-Bretagne, 31026 Toulouse, France.

出版信息

Arch Pediatr. 2006 Dec;13(12):1514-7. doi: 10.1016/j.arcped.2006.08.016. Epub 2006 Oct 9.

Abstract

Acute myocarditis is a rare inflammatory cardiac disease in children with potentially fatal issue. Clinical findings are very variable from nausea and vomiting to acute cardiovascular collapse. The cardiac function can be reversible with circulatory support. We report the case of a 6-year-old girl with ECG changes like myocardial infarction and diagnosis of fulminant myocarditis. She developped rapidly a cardiogenic shock and died before treatment with mechanical circulatory support.

摘要

急性心肌炎是一种在儿童中罕见的炎症性心脏病,可能引发致命问题。临床表现差异很大,从恶心、呕吐到急性心血管衰竭。通过循环支持,心脏功能可能恢复。我们报告了一例6岁女孩的病例,其心电图改变类似心肌梗死,诊断为暴发性心肌炎。她迅速发展为心源性休克,在接受机械循环支持治疗前死亡。

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